The Distribution Of TCM Syndromes In Menopausal Syndrome And The Essence Of Professor Chen Ying's Treatment Experienc

Purpose :This study conducted a clinical questionnaire survey on menopausal syndrome patients in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,to obtain the disease location and the characteristics of syndrome factors,as well as the correlation between the general information of patients and syndrome factors,and combined with the tutor Professor Chen Ying’s experience in treating this disease,we can fully understand this disease.Material and method : Based on the basic principles of evidence-based medicine,200 patients with menopausal syndrome who met the inclusion and exclusion criteria in the gynecological outpatient department of Liaoning University of Traditional Chinese Medicine Affiliated Hospital from November 2020 to November 2021 were selected by cross-sectional clinical epidemiological investigation.Using the general situation questionnaire drawn up in the previous stage,the TCM syndrome factor scale made according to Professor Zhu Wenfeng’s "differentiation of syndrome pattern factors" was adopted to identify the syndromes factor.Collect data,use Epidata,WPS,SPSS26.0 to organize and analyze,get the disease location,disease syndrome characteristics of patients with menopausal syndrome,and get the factors related to the syndrome information,and combine with the tutor Professor Chen Ying’s clinical treatment of menopause syndrome diagnosis and treatment experience to discuss,in order to provide reference for improving the quality of the menopausal women’s survival.Results:1.The average age of 200 patients participating in the survey was 49.78±4.40 years;176 patients(88%)were married;163 patients(81.5%)had high school education level or above;178 patients(88.5%)had proper occupation;148 patients(74%)preferred light diet;113 patients(56.5%)were of normal weight.153 patients(76.5%)were in irritable,anxious and depressed mood;143 patients(71.5%)experienced stress in life;162 patients(81%)were not satisfied with their sleep status.102 patients(51%)had a history of gynecological diseases.133 patients(66.5%)had no previous history of chronic disease.2.The disease location syndrome factors of menopausal syndrome: liver syndrome factors ranked first in 194 cases(20.15%),followed by kidney syndrome factors in 138 cases(69.00%),followed by spleen syndrome factors in 109 cases(54.50%),heart syndrome factors in 101 cases(50.50%)and mind syndrome factors in 98 cases(49.00%)Among them,the scores of liver and kidney syndrome factors were significantly different from other syndrome factors(P < 0.01).3.The disease characteristics of syndrome factors of menopausal syndrome: The top 4 syndrome factors were qi deficiency syndrome factors 194 cases(97.00%),yang deficiency syndrome factors 187 cases(93.50%),blood deficiency syndrome factors 186 cases(93.00%),yin deficiency syndrome factors 186 cases(93.00%).There were 182(91.00%)cases of qi stagnation syndrome factors,163(81.50%)cases of yang excess syndrome factors,133(66.50%)cases of pathogenic dampness syndrome factors,126(63.00%)cases of blood stasis syndrome factors and 112(56.00%)cases of phlegm syndrome factors.There was no difference in the score of qi deficiency,Yin deficiency,blood deficiency and Yang deficiency.4.Distribution of compound syndrome factors: The most frequent occurrence of compound syndrome factors in the disease location is liver+kidney,followed by liver+heart.When the syndrome and factors of multiple disease locations are compounded,the liver and kidneys are often combined with the heart or the mind at the same time.The most frequent occurrence of disease-related compound syndrome factors is qi deficiency + yang deficiency + blood deficiency + yin deficiency,followed by qi deficiency + yang deficiency + blood deficiency +yin deficiency + qi stagnation.Conclusion:1.The occurrence of menopausal syndrome is based on the liver and kidney,and is closely related to the heart,mind and spleen.2.The disease characteristics of patients with menopausal syndrome are often mixed with deficiency and excess,and different degrees of qi,blood,yin and yang deficiency combined with qi stagnation appear at the same time.3.Mood,stress,sleep quality,exercise,age,parity,BMI,chronic disease history,etc.all have a certain impact on the incidence and severity of menopausal syndrome.Clinically,patients should be given menopause-related lifestyle education to maintain health.4.Professor Chen Ying believes that the treatment of menopausal syndrome,need to nourish the liver and blood,fill the kidney essence,and maintain the function of the spleen and stomach.Assist the envoy to activate Qi,activate blood,and remove blood stasis to clear pathological factors such as qi stagnation,blood stasis,and phlegm.Pay attention to human care when communicating with patients。Instruct the patient to feel comfortable in peacetime,live on time,and exercise diligently in order to regain health.